
<div id="_page" style="margin: 0px auto; background: rgb(255, 255, 255); width: 210mm; min-height: 297mm; transform: scale(1, 1); transform-origin: 50% 0px 0px;" pagekind="Custom" direct="portrait">
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		<p style=" font-family: 宋体; font-size: 12pt; text-align: Center;">
			<table style="">
			<colgroup>
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		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 12pt; font-weight: bold;">XXXX人民医院</label>
		</p><p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 21.75pt; font-weight: bold;">入 院 记 录</label></p></td>
			</tr>
			<tr style="height:-0.6005605084745763cm">
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:3.75pt;">
		<p style="">姓名：
			<field tabindex="0" id="inpatientName" name="inpatientName" class="blank" style="" contenteditable="true" type="Text" validate="true" value="" title="患者姓名">患者姓名</field></p></td>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:3.75pt;">
		<p style="">性别：
			<field tabindex="0" id="inpatientSex" name="inpatientSex" class="blank" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;男&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;女&quot;,&quot;value&quot;:&quot;2&quot;}]" validate="true" value="" title="男">男</field></p></td>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:3.75pt;">
		<p style="">年龄：
			<field tabindex="0" id="inpatientAge" name="inpatientAge" class="blank" style="" contenteditable="true" type="Text" validate="true" value="" title="年龄">年龄</field></p></td>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:3.75pt;">
		<p style="">病案号：
			<field tabindex="0" id="inpatientCardeNo" name="inpatientCardeNo" class="blank" style="" contenteditable="true" type="Text" value="" title="病案号">病案号</field></p></td>
			</tr>
			</tbody></table></p><p>
	</p></div>
	
	<div id="_body" style="outline:none;min-height: calc(297mm - -0.22999999999999993cm - -0.51cm - 0.69cm - 0.97cm);padding-left:1.96cm;padding-right:0.79cm;" contenteditable="false">
		<p style=" font-family: 宋体; font-size: 12pt;">
		</p><p style=" font-family: 宋体; font-size: 12pt;">
			<table style="">
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			<col style="width:315px">
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			<tbody><tr style="height:-0.7006538983050847cm">
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:3pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">姓名：
			<field tabindex="0" id="inpatientName" name="inpatientName" class="blank" style="" contenteditable="true" type="Text" validate="true" value="" title="患者姓名">患者姓名</field></p></td>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:3pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">职业：
			<field tabindex="0" id="inpatientProfCode" name="inpatientProfCode" class="blank" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;干部&quot;,&quot;value&quot;:&quot;02&quot;},{&quot;text&quot;:&quot;工程师&quot;,&quot;value&quot;:&quot;13&quot;},{&quot;text&quot;:&quot;医生&quot;,&quot;value&quot;:&quot;19&quot;},{&quot;text&quot;:&quot;律师&quot;,&quot;value&quot;:&quot;23&quot;},{&quot;text&quot;:&quot;教师&quot;,&quot;value&quot;:&quot;24&quot;},{&quot;text&quot;:&quot;公务员&quot;,&quot;value&quot;:&quot;31&quot;},{&quot;text&quot;:&quot;农民&quot;,&quot;value&quot;:&quot;51&quot;},{&quot;text&quot;:&quot;工人&quot;,&quot;value&quot;:&quot;99&quot;},{&quot;text&quot;:&quot;军人&quot;,&quot;value&quot;:&quot;X0&quot;},{&quot;text&quot;:&quot;退休&quot;,&quot;value&quot;:&quot;Z0&quot;},{&quot;text&quot;:&quot;学生&quot;,&quot;value&quot;:&quot;Z0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;Y0&quot;},{&quot;text&quot;:&quot;各级党委组织负责人&quot;,&quot;value&quot;:&quot;01&quot;},{&quot;text&quot;:&quot;国家机关机构负责人&quot;,&quot;value&quot;:&quot;02&quot;},{&quot;text&quot;:&quot;民主党派机构负责人&quot;,&quot;value&quot;:&quot;03&quot;},{&quot;text&quot;:&quot;事业单位负责人&quot;,&quot;value&quot;:&quot;04&quot;},{&quot;text&quot;:&quot;企业负责人&quot;,&quot;value&quot;:&quot;05&quot;},{&quot;text&quot;:&quot;科学研究人员&quot;,&quot;value&quot;:&quot;11&quot;},{&quot;text&quot;:&quot;农业技术人员&quot;,&quot;value&quot;:&quot;17&quot;},{&quot;text&quot;:&quot;飞机船舶技术人员&quot;,&quot;value&quot;:&quot;18&quot;},{&quot;text&quot;:&quot;卫生专业技人员&quot;,&quot;value&quot;:&quot;19&quot;},{&quot;text&quot;:&quot;经济业务人员&quot;,&quot;value&quot;:&quot;21&quot;},{&quot;text&quot;:&quot;金融业务人员&quot;,&quot;value&quot;:&quot;22&quot;},{&quot;text&quot;:&quot;法律专业人员&quot;,&quot;value&quot;:&quot;23&quot;},{&quot;text&quot;:&quot;教学人员" ","value":"24"},{"text":"文学艺术工人员","value":"25"},{"text":"体育工作人员","value":"26"},{"text":"新闻工作人员","value":"27"},{"text":"宗教职业者","value":"28"},{"text":"技术员","value":"29"},{"text":"其他专业技术人员","value":"29"},{"text":"行政办公人员","value":"31"},{"text":"安全保卫消防人员","value":"32"},{"text":"邮政和电信业务人员","value":"33"},{"text":"其他办事人人员","value":"39"},{"text":"购销人员="" ","value":"41"},{"text":"仓储人员="" ","value":"42"},{"text":"餐饮服务人员","value":"43"},{"text":"饭店、旅游服务人员","value":"44"},{"text":"运输服务人员","value":"45"},{"text":"医疗卫生辅助人员","value":"46"},{"text":"社会服务人员","value":"47"},{"text":"居民生活服务人员","value":"48"},{"text":"其他商业服务人员","value":"49"},{"text":"种植业生产人员","value":"51"},{"text":"林业生产人员","value":"52"},{"text":"畜牧业生产人员","value":"53"},{"text":"渔业生产人员","value":"54"},{"text":"水利设施管理人员","value":"55"},{"text":"其他农、林人员","value":"59"},{"text":"金属冶练人员","value":"62"},{"text":"化工产品生产人员","value":"64"},{"text":"机械制造加工人员","value":"66"},{"text":"机电产品装配人员","value":"67"},{"text":"机械设备修理人员","value":"71"},{"text":"电力设备安装人员","value":"72"},{"text":"电子元器件相关人员","value":"73"},{"text":"橡胶和塑料生产人员","value":"74"},{"text":"纺织、针织人员","value":"75"},{"text":"粮油、食品人员","value":"77"},{"text":"烟草加工人员","value":"78"},{"text":"药品生产人员","value":"79"},{"text":"木材加工人员","value":"81"},{"text":"建筑材料生产人员","value":"82"},{"text":"玻璃、陶瓷生产人员","value":"83"},{"text":"广播影视制人员","value":"84"},{"text":"印刷人员="" ","value":"85"},{"text":"文化用品制作人员","value":"87"},{"text":"工程施工人员","value":"88"},{"text":"运输设备操作人员","value":"91"},{"text":"环境监测人员","value":"92"},{"text":"检验、计量人员","value":"93"},{"text":"其他生产人员","value":"99"},{"text":"军人","value":"x0"},{"text":"不便分类的","value":"y0"},{"text":"学生离退休等无职业人员","value":"z0"},{"text":"勘测及矿物开采人员","value":"61"},{"text":"裁剪、缝纫人员","value":"76"},{"text":"工艺、美术制作人员","value":"86"}]="" validate="true" value="" title="干部">干部</field></p></td>
			</tr>
			<tr style="height:-0.7006538983050847cm">
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:3pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">性别：
			<field tabindex="0" id="inpatientSex" name="inpatientSex" class="blank" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;男&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;女&quot;,&quot;value&quot;:&quot;2&quot;}]" validate="true" value="" title="男">男</field></p></td>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:3pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">工作单位：
			<field tabindex="0" id="inpatientWorkName" name="inpatientWorkName" class="blank" style="" contenteditable="true" type="Text" validate="true" value="" title="工作单位地址">工作单位地址</field></p></td>
			</tr>
			<tr style="height:-0.7006538983050847cm">
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:3pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">年龄：
			<field tabindex="0" id="inpatientAge" name="inpatientAge" class="blank" style="" contenteditable="true" type="Text" validate="true" value="" title="年龄">年龄</field></p></td>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:3pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">住址：
			<field tabindex="0" id="inpatientHome" name="inpatientHome" class="blank" style="" contenteditable="true" type="Text" validate="true" value="" title="住址">住址</field></p></td>
			</tr>
			<tr style="height:-0.7006538983050847cm">
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:3pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">婚姻：
			<field tabindex="0" id="inpatientMari" name="inpatientMari" class="blank" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;未婚&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;已婚&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;离异&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;丧偶&quot;,&quot;value&quot;:&quot;3&quot;},{&quot;text&quot;:&quot;其他&quot;,&quot;value&quot;:&quot;4&quot;}]" value="" title="未婚">未婚</field></p></td>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:3pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">病史陈述者：
			<field tabindex="0" id="病史陈述者" name="病史陈述者" class="blank" style="" contenteditable="true" type="Text" value="" title="病史陈述者">病史陈述者</field></p></td>
			</tr>
			<tr style="height:-0.7006538983050847cm">
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:3pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">出生地：
			<field tabindex="0" id="inpatientDist" name="inpatientDist" class="blank" style="" contenteditable="true" type="Text" validate="true" value="" title="出生地">出生地</field></p></td>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:3pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">入院日期：<field tabindex="0" class="blank" style="" id="inpatientInDate" name="inpatientInDate" type="DateTime" format="yyyy-MM-dd HH:mm" validate="true" value="" title="入院日期">入院日期</field></p></td>
			</tr>
			<tr style="height:-0.7006538983050847cm">
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:3pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">民族：
			<field tabindex="0" id="inpatientNationCode" name="inpatientNationCode" class="blank" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;汉族&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;蒙古族&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;满族&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;回族&quot;,&quot;value&quot;:&quot;3&quot;},{&quot;text&quot;:&quot;朝鲜族&quot;,&quot;value&quot;:&quot;4&quot;}]" validate="true" value="" title="汉族">汉族</field></p></td>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:3pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">记录日期：<field tabindex="0" class="blank" style="" id="记录日期" name="记录日期" type="DateTime" format="yyyy-MM-dd HH:mm" validate="true" value="" title="记录日期">记录日期</field></p></td>
			</tr>
			<tr style="height:-0.30028025423728816cm">
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:3pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 12pt;"></p></td>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:3pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 12pt;"></p></td>
			</tr>
			</tbody></table></p><p>    主诉：
			<field tabindex="0" id="主诉" name="主诉" class="blank" style="" contenteditable="true" type="Text" validate="true" value="" title="主诉">主诉</field>
		</p><p style=" font-family: 宋体; font-size: 12pt;">    现病史：
			<field tabindex="0" id="现病史" name="现病史" class="blank" style="" contenteditable="true" type="Text" validate="true" value="" title="现病史">现病史</field>
		</p><p style=" font-family: 宋体; font-size: 12pt;">    既往史：
			<field tabindex="0" id="既往史" name="既往史" class="blank" style="" contenteditable="true" type="Text" validate="true" value="" title="既往史">既往史</field>
		</p><p style=" font-family: 宋体; font-size: 12pt;">    个人史：
			<field tabindex="0" id="个人史" name="个人史" class="blank" style="" contenteditable="true" type="Text" value="" title="个人史">个人史</field>
		</p><p style=" font-family: 宋体; font-size: 12pt;">    月经史：
			<xmedicalexpressionfield style=" font-family: 宋体; font-size: 12pt;text-decoration: line-through; text-decoration-color: #FF7F50;">
			<label style=" font-family: 宋体; font-size: 12pt;">Value1,Value2,Value3,Value4</label></xmedicalexpressionfield>
			<xnewmedicalexpression style=" font-family: 宋体; font-size: 12pt;text-decoration: underline; text-decoration-color: #ADD8E6;"></xnewmedicalexpression>
			<field tabindex="0" id="月经史" name="月经史" class="blank" style="" contenteditable="true" type="Text" value="" title="月经史">月经史</field>
		</p><p style=" font-family: 宋体; font-size: 12pt;">    婚育史：
			<field tabindex="0" id="婚姻史" name="婚姻史" class="blank" style="" contenteditable="true" type="Text" value="" title="婚育史">婚育史</field>
		</p><p style=" font-family: 宋体; font-size: 12pt;">    家族史：
			<field tabindex="0" id="家族史" name="家族史" class="blank" style="" contenteditable="true" type="Text" value="" title="家族史">家族史</field>
		</p><p style=" font-family: 宋体; font-size: 12pt;">    本人就病历记录所口述的全部告知内容均属真实，且已阅读并确认上述病历记录记载无误。如有不实告知，相应法律后果均有本人自行承担，医院不承担由于本人不实告知而引发的任何法律责任。
		</p><p style=" font-family: 宋体; font-size: 12pt;">患者签名：             病史提供者签名：         （与患者关系：         ）
		</p><p style=" font-family: 宋体; font-size: 12pt;">确认时间：<field tabindex="0" class="blank" style="" id="记录日期" name="记录日期" type="DateTime" format="yyyy-MM-dd HH:mm" validate="true" value="" title="记录日期">记录日期</field>
		</p><p style=" font-family: 宋体; font-size: 12pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 12pt; font-weight: bold;">体 格 检 查</label>
		</p><p style=" font-family: 宋体; font-size: 12pt; text-align: Center;">
			<table style="">
			<colgroup>
			<col style="width:84px">
			<col style="width:562px">
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				<td style=" font-family: 宋体; font-size: 12pt;padding-left:2.952755pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 12pt;">     体温
			<field tabindex="0" id="体温" name="体温" class="blank" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;35.3&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;35.4&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;35.5&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;35.6&quot;,&quot;value&quot;:&quot;3&quot;},{&quot;text&quot;:&quot;35.7&quot;,&quot;value&quot;:&quot;4&quot;},{&quot;text&quot;:&quot;35.8&quot;,&quot;value&quot;:&quot;5&quot;},{&quot;text&quot;:&quot;36.1&quot;,&quot;value&quot;:&quot;6&quot;},{&quot;text&quot;:&quot;36.2&quot;,&quot;value&quot;:&quot;7&quot;},{&quot;text&quot;:&quot;36.3&quot;,&quot;value&quot;:&quot;8&quot;},{&quot;text&quot;:&quot;36.4&quot;,&quot;value&quot;:&quot;9&quot;},{&quot;text&quot;:&quot;36.5&quot;,&quot;value&quot;:&quot;10&quot;},{&quot;text&quot;:&quot;36.6&quot;,&quot;value&quot;:&quot;11&quot;},{&quot;text&quot;:&quot;36.7&quot;,&quot;value&quot;:&quot;12&quot;},{&quot;text&quot;:&quot;37.0&quot;,&quot;value&quot;:&quot;13&quot;},{&quot;text&quot;:&quot;37.1&quot;,&quot;value&quot;:&quot;14&quot;},{&quot;text&quot;:&quot;37.2&quot;,&quot;value&quot;:&quot;15&quot;},{&quot;text&quot;:&quot;37.3&quot;,&quot;value&quot;:&quot;16&quot;},{&quot;text&quot;:&quot;37.4&quot;,&quot;value&quot;:&quot;17&quot;},{&quot;text&quot;:&quot;37.5&quot;,&quot;value&quot;:&quot;18&quot;},{&quot;text&quot;:&quot;37.6&quot;,&quot;value&quot;:&quot;19&quot;},{&quot;text&quot;:&quot;37.9&quot;,&quot;value&quot;:&quot;20&quot;},{&quot;text&quot;:&quot;38.0&quot;,&quot;value&quot;:&quot;21&quot;},{&quot;text&quot;:&quot;38.1&quot;,&quot;value&quot;:&quot;22&quot;},{&quot;text&quot;:&quot;38.2&quot;,&quot;value&quot;:&quot;23&quot;},{&quot;text&quot;:&quot;38.3&quot;,&quot;value&quot;:&quot;24&quot;},{&quot;text&quot;:&quot;38.4&quot;,&quot;value&quot;:&quot;25&quot;},{&quot;text&quot;:&quot;38.7&quot;,&quot;value&quot;:&quot;26&quot;},{&quot;text&quot;:&quot;38.8&quot;,&quot;value&quot;:&quot;27&quot;},{&quot;text&quot;:&quot;38.9&quot;,&quot;value&quot;:&quot;28&quot;},{&quot;text&quot;:&quot;39.0&quot;,&quot;value&quot;:&quot;29&quot;},{&quot;text&quot;:&quot;39.1&quot;,&quot;value&quot;:&quot;30&quot;},{&quot;text&quot;:&quot;39.2&quot;,&quot;value&quot;:&quot;31&quot;},{&quot;text&quot;:&quot;39.3&quot;,&quot;value&quot;:&quot;32&quot;},{&quot;text&quot;:&quot;39.6&quot;,&quot;value&quot;:&quot;33&quot;},{&quot;text&quot;:&quot;39.7&quot;,&quot;value&quot;:&quot;34&quot;},{&quot;text&quot;:&quot;39.8&quot;,&quot;value&quot;:&quot;35&quot;},{&quot;text&quot;:&quot;39.9&quot;,&quot;value&quot;:&quot;36&quot;},{&quot;text&quot;:&quot;40.0&quot;,&quot;value&quot;:&quot;37&quot;},{&quot;text&quot;:&quot;40.1&quot;,&quot;value&quot;:&quot;38&quot;},{&quot;text&quot;:&quot;40.2&quot;,&quot;value&quot;:&quot;39&quot;},{&quot;text&quot;:&quot;40.5&quot;,&quot;value&quot;:&quot;40&quot;},{&quot;text&quot;:&quot;40.6&quot;,&quot;value&quot;:&quot;41&quot;},{&quot;text&quot;:&quot;40.7&quot;,&quot;value&quot;:&quot;42&quot;},{&quot;text&quot;:&quot;40.8&quot;,&quot;value&quot;:&quot;43&quot;},{&quot;text&quot;:&quot;40.9&quot;,&quot;value&quot;:&quot;44&quot;},{&quot;text&quot;:&quot;41.0&quot;,&quot;value&quot;:&quot;45&quot;},{&quot;text&quot;:&quot;41.3&quot;,&quot;value&quot;:&quot;46&quot;},{&quot;text&quot;:&quot;41.4&quot;,&quot;value&quot;:&quot;47&quot;},{&quot;text&quot;:&quot;41.5&quot;,&quot;value&quot;:&quot;48&quot;},{&quot;text&quot;:&quot;41.6&quot;,&quot;value&quot;:&quot;49&quot;},{&quot;text&quot;:&quot;41.7&quot;,&quot;value&quot;:&quot;50&quot;},{&quot;text&quot;:&quot;41.8&quot;,&quot;value&quot;:&quot;51&quot;},{&quot;text&quot;:&quot;41.9&quot;,&quot;value&quot;:&quot;52&quot;},{&quot;text&quot;:&quot;35.2&quot;,&quot;value&quot;:&quot;53&quot;},{&quot;text&quot;:&quot;35.9&quot;,&quot;value&quot;:&quot;54&quot;},{&quot;text&quot;:&quot;36.0&quot;,&quot;value&quot;:&quot;55&quot;},{&quot;text&quot;:&quot;36.8&quot;,&quot;value&quot;:&quot;56&quot;},{&quot;text&quot;:&quot;36.9&quot;,&quot;value&quot;:&quot;57&quot;},{&quot;text&quot;:&quot;37.7&quot;,&quot;value&quot;:&quot;58&quot;},{&quot;text&quot;:&quot;37.8&quot;,&quot;value&quot;:&quot;59&quot;},{&quot;text&quot;:&quot;38.5&quot;,&quot;value&quot;:&quot;60&quot;},{&quot;text&quot;:&quot;38.6&quot;,&quot;value&quot;:&quot;61&quot;},{&quot;text&quot;:&quot;39.4&quot;,&quot;value&quot;:&quot;62&quot;},{&quot;text&quot;:&quot;39.5&quot;,&quot;value&quot;:&quot;63&quot;},{&quot;text&quot;:&quot;40.3&quot;,&quot;value&quot;:&quot;64&quot;},{&quot;text&quot;:&quot;40.4&quot;,&quot;value&quot;:&quot;65&quot;},{&quot;text&quot;:&quot;41.1&quot;,&quot;value&quot;:&quot;66&quot;},{&quot;text&quot;:&quot;41.2&quot;,&quot;value&quot;:&quot;67&quot;},{&quot;text&quot;:&quot;42.0&quot;,&quot;value&quot;:&quot;68&quot;},{&quot;text&quot;:&quot;35.1&quot;,&quot;value&quot;:&quot;69&quot;}]" value="" title="35.3">35.3</field>℃     脉搏
			<field tabindex="0" id="脉搏" name="脉搏" class="blank" style="" contenteditable="true" type="Text" value="" title="脉搏">脉搏</field>次/分    呼吸
			<field tabindex="0" id="呼吸" name="呼吸" class="blank" style="" contenteditable="true" type="Text" value="" title="呼吸">呼吸</field>次/分    血压
			<field tabindex="0" id="血压" name="血压" class="blank" style="" contenteditable="true" type="Text" value="" title="血压">血压</field>mmHg</p></td>
			</tr>
			<tr style="height:0.7006538983050847cm">
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:2.952755pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">一般状况:</p></td>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:2.952755pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">发育
			<field tabindex="0" id="发育" name="发育" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;良好&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;中等&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;不良&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;超长&quot;,&quot;value&quot;:&quot;3&quot;}]" value="0" title="良好">良好</field>，营养
			<field tabindex="0" id="营养" name="营养" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;良好&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;中等&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;欠佳&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;消瘦&quot;,&quot;value&quot;:&quot;3&quot;},{&quot;text&quot;:&quot;肥胖&quot;,&quot;value&quot;:&quot;4&quot;},{&quot;text&quot;:&quot;恶病质&quot;,&quot;value&quot;:&quot;5&quot;}]" value="1" title="中等">中等</field>，神志
			<field tabindex="0" id="神志" name="神志" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;清楚&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;淡漠&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;昏迷&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;昏睡&quot;,&quot;value&quot;:&quot;3&quot;},{&quot;text&quot;:&quot;谵妄&quot;,&quot;value&quot;:&quot;4&quot;},{&quot;text&quot;:&quot;模糊&quot;,&quot;value&quot;:&quot;5&quot;}]" value="0" title="清楚">清楚</field>，体位
			<field tabindex="0" id="体位" name="体位" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;自主&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;被动&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;强迫&quot;,&quot;value&quot;:&quot;2&quot;}]" value="0" title="自主">自主</field>，
			<field tabindex="0" id="面容" name="面容" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;急性病容&quot;,&quot;value&quot;:&quot;3&quot;},{&quot;text&quot;:&quot;慢性病容&quot;,&quot;value&quot;:&quot;4&quot;},{&quot;text&quot;:&quot;特殊&quot;,&quot;value&quot;:&quot;5&quot;},{&quot;text&quot;:&quot;贫血&quot;,&quot;value&quot;:&quot;贫血&quot;},{&quot;text&quot;:&quot;肝病&quot;,&quot;value&quot;:&quot;肝病&quot;},{&quot;text&quot;:&quot;肾病&quot;,&quot;value&quot;:&quot;肾病&quot;},{&quot;text&quot;:&quot;甲状腺功能亢进&quot;,&quot;value&quot;:&quot;甲状腺功能亢进&quot;},{&quot;text&quot;:&quot;粘液性水肿&quot;,&quot;value&quot;:&quot;粘液性水肿&quot;},{&quot;text&quot;:&quot;正常&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;二尖瓣&quot;,&quot;value&quot;:&quot;二尖瓣&quot;},{&quot;text&quot;:&quot;肢端肥大&quot;,&quot;value&quot;:&quot;肢端肥大&quot;},{&quot;text&quot;:&quot;苦笑&quot;,&quot;value&quot;:&quot;苦笑&quot;},{&quot;text&quot;:&quot;满月&quot;,&quot;value&quot;:&quot;满月&quot;},{&quot;text&quot;:&quot;面具&quot;,&quot;value&quot;:&quot;面具&quot;},{&quot;text&quot;:&quot;伤寒&quot;,&quot;value&quot;:&quot;伤寒&quot;}]" value="1" title="正常">正常</field>面容，表情
			<field tabindex="0" id="表情" name="表情" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;安静&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;痛苦&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;烦躁&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;恐惧&quot;,&quot;value&quot;:&quot;3&quot;},{&quot;text&quot;:&quot;淡漠&quot;,&quot;value&quot;:&quot;4&quot;},{&quot;text&quot;:&quot;忧虑&quot;,&quot;value&quot;:&quot;5&quot;}]" value="0" title="安静">安静</field>，查体
			<field tabindex="0" id="配合检查" name="配合检查" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;合作&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;不合作&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="合作">合作</field>。</p></td>
			</tr>
			<tr style="height:0.5004671186440678cm">
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		<p style=" font-family: 宋体; font-size: 12pt;">皮肤黏膜:</p></td>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:2.952755pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">颜色
			<field tabindex="0" id="皮肤黏膜" name="皮肤黏膜" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;正常&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;苍白&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;黄染&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;发绀&quot;,&quot;value&quot;:&quot;3&quot;},{&quot;text&quot;:&quot;出血&quot;,&quot;value&quot;:&quot;4&quot;},{&quot;text&quot;:&quot;潮红&quot;,&quot;value&quot;:&quot;5&quot;},{&quot;text&quot;:&quot;色素沉着&quot;,&quot;value&quot;:&quot;6&quot;},{&quot;text&quot;:&quot;水肿&quot;,&quot;value&quot;:&quot;7&quot;}]" value="0" title="正常">正常</field>，温度
			<field tabindex="0" id="温度与湿度" name="温度与湿度" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;正常&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;冷&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;干&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;湿&quot;,&quot;value&quot;:&quot;3&quot;}]" value="0" title="正常">正常</field>，皮肤弹性
			<field tabindex="0" id="皮肤弹性" name="皮肤弹性" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;良&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;中&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;差&quot;,&quot;value&quot;:&quot;2&quot;}]" value="0" title="良">良</field>，
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>水肿，
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>皮疹，
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>瘀点，
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>紫癜，
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>皮下结节，
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>肿块，
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>蜘蛛痣，
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>肝掌，
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>溃疡，
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>瘢痕。</p></td>
			</tr>
			<tr style="height:0.7006538983050847cm">
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:2.952755pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">淋 巴 结:</p></td>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:2.952755pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">浅表淋巴结
			<field tabindex="0" id="浅表淋巴结" name="浅表淋巴结" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;未触及肿大&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;触及肿大&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="未触及肿大">未触及肿大</field>。</p></td>
			</tr>
			<tr style="height:0.7006538983050847cm">
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:2.952755pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 12pt;">头部及其器官:</p></td>
			</tr>
			<tr>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:2.952755pt;">
		<p style=" font-family: 宋体; font-size: 12pt;"></p></td>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:2.952755pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">头颅
			<field tabindex="0" id="头颅" name="头颅" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;正常&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;小颅&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;尖颅&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;方颅&quot;,&quot;value&quot;:&quot;3&quot;},{&quot;text&quot;:&quot;巨颅&quot;,&quot;value&quot;:&quot;4&quot;},{&quot;text&quot;:&quot;长颅&quot;,&quot;value&quot;:&quot;5&quot;},{&quot;text&quot;:&quot;变形颅&quot;,&quot;value&quot;:&quot;6&quot;}]" value="0" title="正常">正常</field>，
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>肿块，
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>压痛，
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>瘢痕，头发
			<field tabindex="0" id="头发分布描述" name="头发分布描述" class="blank" style="" contenteditable="true" type="Text" value="" title="头发分布描述">头发分布描述</field>，眼睑
			<field tabindex="0" id="眼睑" name="眼睑" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;正常&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;眼睑水肿&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;上睑下垂&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;睑外翻&quot;,&quot;value&quot;:&quot;3&quot;},{&quot;text&quot;:&quot;闭合不全&quot;,&quot;value&quot;:&quot;4&quot;},{&quot;text&quot;:&quot;睑内翻&quot;,&quot;value&quot;:&quot;5&quot;},{&quot;text&quot;:&quot;压痛&quot;,&quot;value&quot;:&quot;6&quot;},{&quot;text&quot;:&quot;包块&quot;,&quot;value&quot;:&quot;7&quot;}]" value="0" title="正常">正常</field>，眼球
			<field tabindex="0" id="眼球情况" name="眼球情况" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;正常&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;凸出&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;凹陷&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;震颤&quot;,&quot;value&quot;:&quot;3&quot;},{&quot;text&quot;:&quot;运动&quot;,&quot;value&quot;:&quot;4&quot;},{&quot;text&quot;:&quot;障碍&quot;,&quot;value&quot;:&quot;5&quot;}]" value="0" title="正常">正常</field>，瞳孔形状
			<field tabindex="0" id="瞳孔外形" name="瞳孔外形" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;等大正圆&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;不等大&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="等大正圆">等大正圆</field>，直径（左侧
			<field tabindex="0" id="左侧" name="左侧" class="" style="" contenteditable="true" type="Text" value="2" title="左侧">2</field>mm，右侧
			<field tabindex="0" id="右侧" name="右侧" class="" style="" contenteditable="true" type="Text" value="2" title="右侧">2</field>mm），对光反射
			<field tabindex="0" id="对光反射" name="对光反射" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;正常&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;迟钝&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;消失&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;不对称&quot;,&quot;value&quot;:&quot;3&quot;}]" value="0" title="正常">正常</field>。巩膜
			<field tabindex="0" id="巩膜情况" name="巩膜情况" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;无黄染&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;有黄染&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="无黄染">无黄染</field>。双耳
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>畸形，
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>分泌物，乳突
			<field tabindex="0" id="乳突压痛" name="乳突压痛" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="无">无</field>压痛，听力
			<field tabindex="0" id="听力" name="听力" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;正常&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;弱听&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;失聪&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;其他&quot;,&quot;value&quot;:&quot;3&quot;}]" value="0" title="正常">正常</field>。鼻
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>畸形，
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>出血，
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>鼻中隔偏曲，鼻窦
			<field tabindex="0" id="鼻窦压痛有无" name="鼻窦压痛有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>
			<field tabindex="0" class="" style="" contenteditable="true" type="Text" value="压痛" title="2014082818300800">压痛</field>。牙齿
			<field tabindex="0" id="牙齿" name="牙齿" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;无异常&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;脱落&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;义齿&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;龋齿&quot;,&quot;value&quot;:&quot;3&quot;},{&quot;text&quot;:&quot;残根&quot;,&quot;value&quot;:&quot;4&quot;},{&quot;text&quot;:&quot;斑釉齿&quot;,&quot;value&quot;:&quot;5&quot;},{&quot;text&quot;:&quot;缺齿&quot;,&quot;value&quot;:&quot;6&quot;}]" value="0" title="无异常">无异常</field>，牙龈
			<field tabindex="0" id="牙龈" name="牙龈" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;未见异常&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;肿胀&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;充血&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;溢脓&quot;,&quot;value&quot;:&quot;3&quot;}]" value="0" title="未见异常">未见异常</field>，口唇颜色
			<field tabindex="0" id="口唇情况" name="口唇情况" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;红润&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;发绀&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;苍白&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;疱疹&quot;,&quot;value&quot;:&quot;3&quot;},{&quot;text&quot;:&quot;皲裂&quot;,&quot;value&quot;:&quot;4&quot;}]" value="0" title="红润">红润</field>。舌苔
			<field tabindex="0" id="舌苔情况" name="舌苔情况" class="blank" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;厚白&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;暗褐&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;黑色&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;干燥剥落&quot;,&quot;value&quot;:&quot;3&quot;},{&quot;text&quot;:&quot;光滑鲜红&quot;,&quot;value&quot;:&quot;4&quot;}]" value="" title="厚白">厚白</field>，
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>溃疡，伸舌方向
			<field tabindex="0" id="伸舌方向" name="伸舌方向" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;左偏&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;右偏&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;居中&quot;,&quot;value&quot;:&quot;2&quot;}]" value="2" title="居中">居中</field>。咽部粘膜
			<field tabindex="0" id="咽部情况" name="咽部情况" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;未见异常&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;红肿&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;充血&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;分泌物&quot;,&quot;value&quot;:&quot;3&quot;}]" value="0" title="未见异常">未见异常</field>，扁桃体
			<field tabindex="0" id="扁桃体外形" name="扁桃体外形" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;正常&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;Ⅰ°肿大&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;Ⅱ°肿大&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;Ⅲ°肿大&quot;,&quot;value&quot;:&quot;3&quot;}]" value="0" title="正常">正常</field>，
			<field tabindex="0" id="可见/未见" name="可见/未见" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;可见&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;未见&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="未见">未见</field>充血、分泌物、假膜。喉
			<field tabindex="0" id="喉" name="喉" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;发音清晰&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;发音嘶哑&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;喘鸣&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;失音&quot;,&quot;value&quot;:&quot;3&quot;}]" value="0" title="发音清晰">发音清晰</field>。</p></td>
			</tr>
			<tr>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:2.952755pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">颈   部:</p></td>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:2.952755pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">运动
			<field tabindex="0" id="颈部" name="颈部" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;自如&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;受限&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;强直&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;斜颈&quot;,&quot;value&quot;:&quot;3&quot;}]" value="0" title="自如">自如</field>，
			<field tabindex="0" id="可见/未见" name="可见/未见" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;可见&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;未见&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="未见">未见</field>颈静脉怒张，肝颈静脉回流征
			<field tabindex="0" id="肝颈静脉回流征" name="肝颈静脉回流征" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;阴性&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;阳性&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="阴性">阴性</field>，颈动脉
			<field tabindex="0" id="颈动脉" name="颈动脉" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;搏动正常&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;搏动增强&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="搏动正常">搏动正常</field>，气管
			<field tabindex="0" id="气管方向" name="气管方向" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;偏左&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;偏右&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;居中&quot;,&quot;value&quot;:&quot;2&quot;}]" value="2" title="居中">居中</field>，甲状腺
			<field tabindex="0" id="甲状腺外形" name="甲状腺外形" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;未及肿大&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;Ⅰ°肿大&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;Ⅱ°肿大&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;Ⅲ°肿大&quot;,&quot;value&quot;:&quot;3&quot;}]" value="0" title="未及肿大">未及肿大</field>，质
			<field tabindex="0" id="质地" name="质地" class="blank" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;软&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;中&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;硬&quot;,&quot;value&quot;:&quot;2&quot;}]" value="" title="软">软</field>，
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>压痛，
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>结节，
			<field tabindex="0" id="触及未触及" name="触及未触及" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;触及&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;未触及&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="未触及">未触及</field>震颤，
			<field tabindex="0" id="闻及" name="闻及" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;未闻及&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;闻及&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="未闻及">未闻及</field>血管杂音。
			<field tabindex="0" id="颈部-其他" name="颈部-其他" class="blank" style="" contenteditable="true" type="Text" value="" title="颈部-其他">颈部-其他</field></p></td>
			</tr>
			<tr>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:2.952755pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">胸   部:</p></td>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:2.952755pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">胸廓外形
			<field tabindex="0" id="胸廓外形" name="胸廓外形" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;漏斗胸&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;局部隆起&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;局部凹陷&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;桶状胸&quot;,&quot;value&quot;:&quot;3&quot;},{&quot;text&quot;:&quot;鸡胸&quot;,&quot;value&quot;:&quot;4&quot;},{&quot;text&quot;:&quot;对称&quot;,&quot;value&quot;:&quot;5&quot;}]" value="5" title="对称">对称</field>，乳房对称，
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>红肿，
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>溃疡，乳头
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>凹陷，
			<field tabindex="0" id="肝脏" name="肝脏" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;未触及&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;触及&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="未触及">未触及</field>
			<field tabindex="0" class="" style="" contenteditable="true" type="Text" value="包块" title="2014091713595000">包块</field>。
			<field tabindex="0" id="可见/未见" name="可见/未见" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;可见&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;未见&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="未见">未见</field>肋间隙，胸壁
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>静脉曲张、皮下气肿，
			<field tabindex="0" id="压痛" name="压痛" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="无">无</field>胸壁压痛。肺脏和胸膜：双肺呼吸动度
			<field tabindex="0" id="双侧呼吸动度" name="双侧呼吸动度" class="blank" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;一致&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;不一致&quot;,&quot;value&quot;:&quot;1&quot;}]" value="" title="一致">一致</field>，
			<field tabindex="0" id="可见/未见" name="可见/未见" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;可见&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;未见&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="未见">未见</field>增强及减弱，
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>肋间隙增宽及变窄。语颤
			<field tabindex="0" id="触觉语颤" name="触觉语颤" class="blank" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;未及异常&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;增强&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;减弱&quot;,&quot;value&quot;:&quot;2&quot;}]" value="" title="未及异常">未及异常</field>,
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>胸膜摩擦感,
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>皮下捻发音。呼吸音
			<field tabindex="0" id="呼吸音1" name="呼吸音1" class="blank" style="" type="DropdownList" value="" title="呼吸音">呼吸音</field>，
			<field tabindex="0" id="啰音" name="啰音" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>
			<field tabindex="0" class="" style="" contenteditable="true" type="Text" value="啰音" title="2014081909060600">啰音</field>。
			<field tabindex="0" id="胸膜摩擦音可未" name="胸膜摩擦音可未" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;可闻及&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;未闻及&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="可闻及">可闻及</field>
			<field tabindex="0" class="blank" style="" contenteditable="true" type="Text" value="" title="2014082909400500">
			<field tabindex="0" id="部位及性质" name="部位及性质" class="blank" style="" contenteditable="true" type="Text" validate="true" value="" title="部位及性质">部位及性质</field></field>胸膜摩擦音。
			<field tabindex="0" id="肺脏和胸膜-其他" name="肺脏和胸膜-其他" class="blank" style="" contenteditable="true" type="Text" value="" title="肺脏和胸膜-其他">肺脏和胸膜-其他</field>
		</p><p style=" font-family: 宋体; font-size: 12pt;">心脏：
			<field tabindex="0" id="啰音" name="啰音" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>心前区隆起，心尖搏动
			<field tabindex="0" id="文本框" name="文本框" class="blank" style="" contenteditable="true" type="Text" value="" title="文本框">文本框</field>，
			<field tabindex="0" id="啰音" name="啰音" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>震颤和心包摩擦感。
		</p><p style=" font-family: 宋体; font-size: 12pt;">叩诊心脏浊音界
		</p><p style=" font-family: 宋体; font-size: 12pt;">
			<table style="">
			<colgroup>
			<col style="width:555px">
			</colgroup>
			<tbody><tr>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:3.75pt;padding-right:3.125pt;">
		<p style=" font-family: 宋体; font-size: 12pt; text-align: Center;">   右界（cm）           肋间               左界（cm）</p></td>
			</tr>
			<tr>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:3.75pt;padding-right:3.125pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">          2
			<label style=" font-family: 宋体; font-size: 10.5pt;">～</label>3                 Ⅱ                 2
			<label style=" font-family: 宋体; font-size: 10.5pt;">～</label>3</p></td>
			</tr>
			<tr>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:3.75pt;padding-right:3.125pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">          2
			<label style=" font-family: 宋体; font-size: 10.5pt;">～</label>3                 Ⅲ                 3.5
			<label style=" font-family: 宋体; font-size: 10.5pt;">～</label>4.5
		</p><p style=" font-family: 宋体; font-size: 12pt;">          3
			<label style=" font-family: 宋体; font-size: 10.5pt;">～</label>4                 Ⅳ                 5
			<label style=" font-family: 宋体; font-size: 10.5pt;">～</label>6
		</p><p style=" font-family: 宋体; font-size: 12pt; text-align: Center;">                   Ⅴ                 7
			<label style=" font-family: 宋体; font-size: 10.5pt;">～</label>9</p></td>
			</tr>
			</tbody></table></p><p>左锁骨中线距胸骨中线为8
			<label style=" font-family: 宋体; font-size: 10.5pt;">～</label>10cm
		</p><p style=" font-family: 宋体; font-size: 12pt;">心率
			<field tabindex="0" id="心率" name="心率" class="blank" style="" contenteditable="true" type="Text" value="" title="心率">心率</field>次/分，心律
			<field tabindex="0" id="心律" name="心律" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;齐&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;不齐&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;绝对不齐&quot;,&quot;value&quot;:&quot;2&quot;}]" value="0" title="齐">齐</field>，
			<field tabindex="0" id="杂音" name="杂音" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;可闻及&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;未闻及&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="未闻及">未闻及</field>
			<field tabindex="0" class="" style="" contenteditable="true" type="Text" value="杂音" title="2014082818483000">杂音</field>，
			<field tabindex="0" id="闻及" name="闻及" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;未闻及&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;闻及&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="未闻及">未闻及</field>心包摩擦音。
			<field tabindex="0" id="胸部-其他" name="胸部-其他" class="blank" style="" contenteditable="true" type="Text" value="" title="胸部-其他">胸部-其他</field></p></td>
			</tr>
			<tr>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:2.952755pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">腹   部:</p></td>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:2.952755pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">
			<field tabindex="0" id="肝脏" name="肝脏" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;未触及&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;触及&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="未触及">未触及</field>
			<field tabindex="0" class="" style="" contenteditable="true" type="Text" value="包块" title="2014082818550400">包块</field>。腹部
			<field tabindex="0" id="腹壁" name="腹壁" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;平坦&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;膨隆&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;凹陷&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;蛙腹&quot;,&quot;value&quot;:&quot;蛙腹&quot;},{&quot;text&quot;:&quot;舟状&quot;,&quot;value&quot;:&quot;舟状&quot;}]" value="0" title="平坦">平坦</field>，
			<field tabindex="0" id="可见/未见" name="可见/未见" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;可见&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;未见&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="未见">未见</field>皮疹、色素、瘢痕、及腹壁静脉曲张。
			<field tabindex="0" id="可见/未见" name="可见/未见" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;可见&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;未见&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="未见">未见</field>局部隆起。腹软，
			<field tabindex="0" id="腹部肌紧张有无" name="腹部肌紧张有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>
			<field tabindex="0" class="" style="" contenteditable="true" type="Text" value="肌紧张" title="2014082012505800">肌紧张</field>，
			<field tabindex="0" id="腹部压痛有无" name="腹部压痛有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>
			<field tabindex="0" class="" style="" contenteditable="true" type="Text" value="压痛" title="2014081909230200">压痛</field>，
			<field tabindex="0" id="腹部反跳痛有无" name="腹部反跳痛有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>
			<field tabindex="0" class="" style="" contenteditable="true" type="Text" value="反跳痛" title="2014081909281500">反跳痛</field>，
			<field tabindex="0" id="肝脏" name="肝脏" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;未触及&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;触及&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="未触及">未触及</field>
			<field tabindex="0" class="" style="" contenteditable="true" type="Text" value="包块" title="20140917135950_2006000">包块</field>。肝脏
			<field tabindex="0" id="肝脏" name="肝脏" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;未触及&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;触及&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="未触及">未触及</field>，脾脏
			<field tabindex="0" id="脾脏" name="脾脏" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;未触及&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;触及&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="未触及">未触及</field>。肝区叩击痛
			<field tabindex="0" id="肝区叩痛" name="肝区叩痛" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;阳性&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;阴性&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="阴性">阴性</field>，
			<field tabindex="0" id="肾区叩痛" name="肾区叩痛" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="无">无</field>肾区叩击痛，移动性浊音
			<field tabindex="0" id="移动性浊音" name="移动性浊音" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;阳性&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;阴性&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="阴性">阴性</field>。肠鸣音
			<field tabindex="0" id="肠鸣音" name="肠鸣音" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;正常&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;亢进&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;减弱&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;消失&quot;,&quot;value&quot;:&quot;3&quot;},{&quot;text&quot;:&quot;金属音&quot;,&quot;value&quot;:&quot;金属音&quot;}]" value="0" title="正常">正常</field>。
			<field tabindex="0" id="闻及" name="闻及" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;未闻及&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;闻及&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="未闻及">未闻及</field>振水音和血管杂音。
			<field tabindex="0" id="腹部-其他" name="腹部-其他" class="blank" style="" contenteditable="true" type="Text" value="" title="腹部-其他">腹部-其他</field></p></td>
			</tr>
			<tr style="height:0.7006538983050847cm">
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:2.952755pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 12pt;">肛门、直肠及外生殖器: 
			<field tabindex="0" id="肛门及外生殖器" name="肛门及外生殖器" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;正常&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;异常&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;未查&quot;,&quot;value&quot;:&quot;2&quot;}]" value="2" title="未查">未查</field>。</p></td>
			</tr>
			<tr>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:2.952755pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">脊   柱:</p></td>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:2.952755pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">弯曲度
			<field tabindex="0" id="脊柱" name="脊柱" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;畸形&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;正常&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="正常">正常</field>，活动度
			<field tabindex="0" id="活动度" name="活动度" class="blank" style="" contenteditable="true" type="Text" value="" title="活动度">活动度</field>，
			<field tabindex="0" id="压痛有无" name="压痛有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>
			<field tabindex="0" class="" style="" contenteditable="true" type="Text" value="压痛" title="2014082108413600">压痛</field>，
			<field tabindex="0" id="腹部叩击痛有无" name="腹部叩击痛有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>
			<field tabindex="0" class="" style="" contenteditable="true" type="Text" value="叩击痛" title="2014081909355300">叩击痛</field>。
			<field tabindex="0" id="叩击痛-其他" name="叩击痛-其他" class="blank" style="" contenteditable="true" type="Text" value="" title="叩击痛-其他">叩击痛-其他</field></p></td>
			</tr>
			<tr>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:2.952755pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 12pt;">四肢及其关节:</p></td>
			</tr>
			<tr style="height:1.4976923728813558cm">
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:2.952755pt;">
		<p style=" font-family: 宋体; font-size: 12pt;"></p></td>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:2.952755pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">
			<field tabindex="0" id="有无" name="有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>畸形，
			<field tabindex="0" id="反跳痛" name="反跳痛" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="无">无</field>杵状指（趾），
			<field tabindex="0" id="反跳痛" name="反跳痛" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="无">无</field>下肢静脉曲张，
			<field tabindex="0" id="下肢水肿有无" name="下肢水肿有无" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;1&quot;}]" value="1" title="无">无</field>
			<field tabindex="0" class="" style="" contenteditable="true" type="Text" value="下肢水肿" title="2014090110443300">下肢水肿</field>。
			<field tabindex="0" id="反跳痛" name="反跳痛" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="无">无</field>骨折及关节红肿、疼痛、压痛、积液、脱臼。足背动脉搏动
			<field tabindex="0" id="双足背动脉搏动" name="双足背动脉搏动" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;正常&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;减弱&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;消失&quot;,&quot;value&quot;:&quot;2&quot;}]" value="0" title="正常">正常</field>，
			<field tabindex="0" id="反跳痛" name="反跳痛" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;无&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;有&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="无">无</field>肌肉萎缩。
		</p><p style=" font-family: 宋体; font-size: 12pt;">肌力：左侧上肢
			<field tabindex="0" id="左上肢肌力" name="左上肢肌力" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;Ⅰ&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;Ⅱ&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;Ⅲ&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;Ⅳ&quot;,&quot;value&quot;:&quot;3&quot;},{&quot;text&quot;:&quot;Ⅴ&quot;,&quot;value&quot;:&quot;4&quot;},{&quot;text&quot;:&quot;0&quot;,&quot;value&quot;:&quot;5&quot;}]" value="0" title="Ⅰ">Ⅰ</field>级，右侧上肢
			<field tabindex="0" id="右上肢肌力" name="右上肢肌力" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;Ⅰ&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;Ⅱ&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;Ⅲ&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;Ⅳ&quot;,&quot;value&quot;:&quot;3&quot;},{&quot;text&quot;:&quot;Ⅴ&quot;,&quot;value&quot;:&quot;4&quot;},{&quot;text&quot;:&quot;0&quot;,&quot;value&quot;:&quot;5&quot;}]" value="2" title="Ⅲ">Ⅲ</field>级，左侧下肢
			<field tabindex="0" id="左下肢肌力" name="左下肢肌力" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;Ⅰ&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;Ⅱ&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;Ⅲ&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;Ⅳ&quot;,&quot;value&quot;:&quot;3&quot;},{&quot;text&quot;:&quot;Ⅴ&quot;,&quot;value&quot;:&quot;4&quot;},{&quot;text&quot;:&quot;0&quot;,&quot;value&quot;:&quot;5&quot;}]" value="0" title="Ⅰ">Ⅰ</field>级，左侧下肢
			<field tabindex="0" id="右下肢肌力" name="右下肢肌力" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;Ⅰ&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;Ⅱ&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;Ⅲ&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;Ⅳ&quot;,&quot;value&quot;:&quot;3&quot;},{&quot;text&quot;:&quot;Ⅴ&quot;,&quot;value&quot;:&quot;4&quot;},{&quot;text&quot;:&quot;0&quot;,&quot;value&quot;:&quot;5&quot;}]" value="3" title="Ⅳ">Ⅳ</field>级，肌张力
			<field tabindex="0" id="肌张力" name="肌张力" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;正常&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;亢进&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;减弱&quot;,&quot;value&quot;:&quot;2&quot;}]" value="0" title="正常">正常</field>。
			<field tabindex="0" id="四肢及其关节-其他" name="四肢及其关节-其他" class="blank" style="" contenteditable="true" type="Text" value="" title="四肢及其关节-其他">四肢及其关节-其他</field></p></td>
			</tr>
			<tr style="height:0.6124522033898305cm">
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:2.952755pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">神经反射:</p></td>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:2.952755pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">浅反射（角膜反射、腹壁反射、提睾反射）
			<field tabindex="0" id="浅反射" name="浅反射" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;正常&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;亢进&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;减弱&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;消失&quot;,&quot;value&quot;:&quot;3&quot;}]" value="0" title="正常">正常</field>，深反射（肱二头肌、肱三头肌、膝腱反射、跟腱反射）
			<field tabindex="0" id="深反射" name="深反射" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;正常&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;亢进&quot;,&quot;value&quot;:&quot;1&quot;},{&quot;text&quot;:&quot;减弱&quot;,&quot;value&quot;:&quot;2&quot;},{&quot;text&quot;:&quot;消失&quot;,&quot;value&quot;:&quot;3&quot;}]" value="0" title="正常">正常</field>，Hoffmann征
			<field tabindex="0" id="阴阳性" name="阴阳性" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;阴性&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;阳性&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="阴性">阴性</field>，Babinski征
			<field tabindex="0" id="阴阳性" name="阴阳性" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;阴性&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;阳性&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="阴性">阴性</field>，Oppenheim征
			<field tabindex="0" id="阴阳性" name="阴阳性" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;阴性&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;阳性&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="阴性">阴性</field>，Gordon征
			<field tabindex="0" id="阴阳性" name="阴阳性" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;阴性&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;阳性&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="阴性">阴性</field>，Kernig征
			<field tabindex="0" id="阴阳性" name="阴阳性" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;阴性&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;阳性&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="阴性">阴性</field>，Brudzinski征
			<field tabindex="0" id="阴阳性" name="阴阳性" class="" style="" type="DropdownList" data-list="[{&quot;text&quot;:&quot;阴性&quot;,&quot;value&quot;:&quot;0&quot;},{&quot;text&quot;:&quot;阳性&quot;,&quot;value&quot;:&quot;1&quot;}]" value="0" title="阴性">阴性</field>。</p></td>
			</tr>
			</tbody></table></p><p>
		</p><p style=" font-family: 宋体; font-size: 12pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 12pt; font-weight: bold;">专 科 情 况</label>
		</p><p style=" font-family: 宋体; font-size: 12pt;">    
			<field tabindex="0" id="专科情况" name="专科情况" class="blank" style="" contenteditable="true" type="Text" value="" title="专科情况">专科情况</field>
		</p><p style=" font-family: 宋体; font-size: 12pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 12pt; font-weight: bold;">实验室及器械检查结果</label>
		</p><p style=" font-family: 宋体; font-size: 12pt;">
			<field tabindex="0" id="检查结果" name="检查结果" class="blank" style="" contenteditable="true" type="Text" value="" title="检查结果">检查结果</field>
		</p><p style=" font-family: 宋体; font-size: 12pt;">
			<table style="">
			<colgroup>
			<col style="width:323px">
			<col style="width:323px">
			</colgroup>
			<tbody><tr style="height:1.9562144067796612cm">
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:2.75pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">
		</p><p style=" font-family: 宋体; font-size: 12pt;"></p></td>
				<td style=" font-family: 宋体; font-size: 12pt;padding-left:2.75pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 12pt;">初步诊断：
			<field tabindex="0" id="入院诊断" name="入院诊断" class="blank" style="" contenteditable="true" type="Text" value="" title="初步诊断">初步诊断</field>
		</p><p style=" font-family: 宋体; font-size: 12pt;">住院医师：
			<field tabindex="0" class="blank" style="" contenteditable="true" type="Text" value="" title="住院医师">住院医师</field>
		</p><p style=" font-family: 宋体; font-size: 12pt;">主治医师：
			<field tabindex="0" class="blank" style="" contenteditable="true" type="Text" value="" title="主治医师">主治医师</field></p></td>
			</tr>
			</tbody></table></p><p>
	</p></div>
	
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